Provider Demographics
NPI:1497292841
Name:OLAYEMI, FRANKLIN
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:
Last Name:OLAYEMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CENTER DR
Mailing Address - Street 2:APT 274
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-8945
Mailing Address - Country:US
Mailing Address - Phone:310-882-1819
Mailing Address - Fax:310-774-0903
Practice Address - Street 1:9808 VENICE BLVD
Practice Address - Street 2:SUITE 505
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2732
Practice Address - Country:US
Practice Address - Phone:310-945-3350
Practice Address - Fax:310-945-3356
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner